Sha256: 44b14afc0ed4270970979590789368206058fdd3378e6462feb93c99aa89985a
Contents?: true
Size: 1.19 KB
Versions: 5
Compression:
Stored size: 1.19 KB
Contents
<%=question_form doop, res do %>
<%=question "/page/declaration" do |root, answer| %>
<div class="summary_box">
<%
name = doop["/page/about_you/your_name/_summary"]
address = doop["/page/about_you/your_address/_summary"]
%>
<p>I, <strong><%=name%></strong> of <strong><%=address%></strong>, am applying for child benefit for:</p>
<%
list "/page/children/child__(\\d+)" do |path, index|
child = doop["#{path}/name/_summary"]
dob = doop["#{path}/dob/_summary"]
%>
<li><strong><%=child%></strong>, born <strong><%=dob%></strong></li>
<% end %>
<br/>
<p><strong>I declare that the information I have provided is correct and complete</strong>. If I give information which I know is not correct or complete, you may take action against me.</p>
<p><strong>I will send the birth certificate(s) or other documents that you need with this form.</strong> If you don't send the documents we need with this application, a decision on your claim will be delayed. Do not send photocopies</p>
</div>
<button>I declare that the information I have provided is correct and complete. Submit my application.</button>
<% end %>
<% end %>
Version data entries
5 entries across 5 versions & 1 rubygems